HomeMy WebLinkAbout0061607-Plumbing (laterals) CITT OF OSHKOSH No 0061607
OSH' OSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 340 SARATOGA AVE Owner GARY L /DEBRA K BALDWIN Create Date 12/03/97
Contractor RJ KAMPO PLBG Category 401 Residential Exterior (laterals) Plan
Bathtub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FIrIWst Sink Int Grease Trap
Res. Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Piaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink ice Maker
Use/Nature
of Work
REPAIR SANITARY SEWER LATERAL
Size Matenal Type 5 Gonn. Type
Sanitary Sewer
6 Vitrified Clay Lateral 1 Repai
Storm Sewer
Water Service
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $10.00
Issued By Date 12/04/97
U Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Crr>(�..),e, f2.1 t(Q repo Pjj Date la_ y —97
Agent/Owner
1
Address 1000 S WESTLAND DR APPLETON WI 54911 0 Telephone Number 730 -9600